Inspection on 15/02/07 for Church Terrace Nursing & Residential Home

This inspection was carried out on 15th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Church Terrace Nursing &... 15/02/06

Church Terrace Nursing &... 12/07/05

Church Terrace Nursing &... 17/12/04

Church Terrace Nursing &... 30/06/04

Church Terrace Nursing &... 05/01/04

Similar services:

Coton Hill House

Doddington Lodge

Far Croft

The Lodge Nursing Home

Bracken House

Sunnycroft

Churchill House Nursing and Residential Home

Field Farm House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Church Terrace Nursing & Residential Home The Terrace Cheadle Stoke-on-Trent Staffordshire ST10 1PA Lead Inspector Pam Grace Key Unannounced Inspection 15 February 2007 14:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church Terrace Nursing & Residential Home Address The Terrace Cheadle Stoke-on-Trent Staffordshire ST10 1PA 01538 750736 01538 754034 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Minehome Limited Mrs Lesley Jane Hughes Care Home 71 Category(ies) of Dementia - over 65 years of age (71), Mental registration, with number disorder, excluding learning disability or of places dementia (2), Mental Disorder, excluding learning disability or dementia - over 65 years of age (71), Physical disability (2), Physical disability over 65 years of age (1) Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 20 MD minimum age 50 years 20 DE minimum age 50 years 7 MD Minimum age 35 years 7 DE minimum age 35 years 2 PD & MD under 65yrs on a temporary basis and then this category will cease 1 PD(E) named male resident aged 75 years presenting mental health problems 15th February 2006 Date of last inspection Brief Description of the Service: Church Terrace is a purpose built Care Home with Nursing. The home is situated on a main road within Cheadle town and has direct access to the town shops and facilities. The home comprises of two floors, served by a passenger lift, and stands in enclosed gardens. There is a car park within the grounds of the home. The home is registered with the Commission for Social Care Inspection to accommodate up to 71 service users over the age of 65 years with varying degrees of dementia and mental disorder requiring either residential and or nursing care. There are three units within the main building offering care with nursing (mental health), and a smaller unit for service users with residential care needs (mental health). The nursing units are as follows:Maple Dene (20 service users), Autumn Leaves (21 service users), and Oaklands (15 service users). All of these units care for service users who have varying degrees of mental health nursing needs. Blossom Court is a unit dedicated to caring for up to 11 service users with mental health (residential) needs. Current fees range from £293.00 weekly, to £815.00 weekly. These are subject to annual review, and reflect the resident’s level of need. Additional charges are made for hairdressing, chiropody, some activities and trips out, toiletries and newspapers. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out over 5 hours, by one inspector. The inspection had been planned with information gathered from the CSCI database, the Pre-Inspection Questionnaire that had been completed by the provider, and comment cards received from residents and relatives. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, residents and visiting relatives. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the care manager, and deputy manager, outlining the overall findings of the inspection. Residents spoken with were very positive about the care they were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. There had been 3 complaints made to the care manager, since the previous inspection. One of those complaints had been partially substantiated. The remaining two had not been substantiated. All three complaints had been amicably resolved under the home’s Complaints procedure. There was a very good response from residents and relatives in regard to requests for feedback about the home. Feedback and comment cards returned to the inspector totalled 20 `Have Your Say’ documents, 6 comment cards from relatives and 2 comment cards from other professionals. Feedback and comments received were very positive, for example “the staff at the home show an excellent understanding of individual resident’s needs”, “staff at the home were so kind to my mother and to us – her family”. One resident who was unable to speak, smiled and showed the inspector the thumbs up sign, when asked if he was happy with the care he received. One member of care staff has the responsibility for co-ordinating activities for residents. Recently, the care manager has been given more flexibility in regard to the management of the home’s activities budget. This has given residents much more freedom of choice of activities, and enables a greater flexibility in regard to finances. There were no requirements – and no recommendations made as a result of this unannounced inspection. What the service does well: Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 6 The management and staff make the residents’ visitors and relatives welcome, and there are frequent visitors to the home. Health care awareness was evident, with the importance of any changes in health status and mental health, being continually monitored by appropriately trained, caring and diligent staff. Staff demonstrated great respect for residents, and residents were addressed in an appropriate manner. Discussions with staff were positive, and showed a clear determination that they belong to a committed team. Residents spoken with were very positive about the care that they were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. Residents residing in Blossom Court proudly showed the inspector their new lounge and kitchenette, which had recently been refurbished. Those residents confirmed that they had been consulted in regard to the refurbishment of the lounge. They also confirmed that they had chosen the colour schemes and the furnishings. There is also a new kitchenette area within the newly refurbished lounge, this provides facilities for residents when cooking snacks and making drinks. Activities within the home are recorded, and coordinated by a member of care staff. The home provides social activities for residents each day, including art, games, discussion groups, bingo, and videos. Recently, the care manager has been given more flexibility in regard to the management of the home’s activities budget. This has given residents much more freedom of choice of activities, and enables a greater flexibility in regard to finances. There was evidence from talking to residents and visiting relatives that contact is maintained with family and friends on a regular basis. There were no restrictions placed on visiting times, and the home provides a relaxed and friendly environment. The home was clean, warm, comfortable and well maintained. Care plans seen were clearly written, and reviews were up to date. They evidenced that service user’s health and social care needs were being met. What has improved since the last inspection? The home’s refurbishment programme has been ongoing, and many areas of the home have been vastly improved with the replacement of carpets, furnishings and decorating of rooms. Blossom Court’s lounge has been refurbished to a very good standard, and a new kitchenette area has been added. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed, and a contract, which clearly tells them about the service they will receive. Intermediate care is not provided by the home. EVIDENCE: A random sample of 5 individual pre-admission assessments and 5 care plans was examined. These evidenced that pre admission assessments are carried out on all individual residents before they are offered a placement at the home. Prospective residents and their representatives are given and/or sent information about the home including a Statement of Purpose, a Welcome Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 10 Pack/Service User Guide, and the home’s Philosophy of Care. Contracts were in place in records seen, including Social Services Terms and Conditions and Contracts for privately funded residents. Discussions with the deputy manager confirmed that she or the care manager would usually carry out these assessments prior to admission. The previous inspection report is also available to read at the home. The deputy manager confirmed that prospective residents and their families are welcome to come and visit the home and have a look around before making a decision to move into the home. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: A random sampling of 5 care plans was undertaken. In line with case tracking, residents and staff were spoken with. Pre – admission assessments were evident in all care plans seen. Appropriate risk assessments were also evident in care plans seen. Wound treatment records were clear and up to date, and visits by health professionals were well documented. The GP visits the home on request, and routine medical reviews are held on a regular basis, and as required. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 12 Residents are protected by the home’s policies and procedures for dealing with medicines. Medication is appropriately stored, administered and recorded. Staff demonstrated a personal empathy with residents, and treated residents with respect. Following the case tracking of 5 individual residents, examination of individual care plans identified that their personal and nursing care needs were being planned and subsequently met on a continuous basis. Discussions with these residents and/or their relatives and care staff, confirmed the above. All of the residents spoken with said that they felt very happy with the care they were receiving in the home. Feedback and comment cards returned to the inspector totalled 20`Have Your Say’ documents, 6 comment cards from relatives, 1 from the District Nurse, and 1 comment card from a Case Manager. Feedback and comments received were generally very positive, and included, comments such as `the staff at the home show an excellent understanding of individual resident’s needs’, `staff at the home were so kind to my mother and to us – her family’. One resident who was unable to speak, smiled and showed the inspector the thumbs up sign, when asked if he was happy with the care he received. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Activities within the home are recorded, and coordinated by a member of care staff. The home provides social activities for residents each day, including art, games, discussion groups, bingo, and videos. More recently the care manager has been given flexibility in regard to the management of the home’s activities budget. This has given residents much more freedom of choice of activities, and enables a greater flexibility in regard to finances. For example the range of activities that can be better accessed are outings generally, cinema, pub/restaurant meals out, take-away meals which give residents the Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 14 opportunity to try a variety of food, e.g. trying out Chinese, Indian food, and activities during organised holidays. There was evidence from talking to residents and visiting relatives that contact is maintained with family and friends on a regular basis. There were no restrictions placed on visiting times, and the home provides a relaxed and friendly environment. Visitors were able to see a relative in private if they needed to. Staff spoken with confirmed that wherever possible individual requests in regard to spiritual needs would be supported by the home. Residents were able to bring in small items of furniture and bedrooms seen were comfortable, and personalised with residents’ possessions. One resident very proudly showed the inspector their room, and their collection of ornaments. Staff and residents spoken with said that the routines within the home were quite flexible although meals needed to be taken within a time framework. Residents were able to get up when they wanted. Residents were able to spend time in their rooms or in the communal areas. Residents are able to smoke in designated areas. Residents in Blossom Court are able to utilise the new kitchenette, and cook their own meals and snacks with support from staff. The kitchen environment was clean and tidy, with up to date daily records kept in regard to cleaning. Recording of Fridge and freezer temperatures had been appropriately documented and recorded. Dry foods were also stored correctly. The quality and variety of food served at the home is of a good standard, and the 4 weekly rotational menus reflected the wishes of residents, as well as the changes in season. Residents spoken with confirmed that they enjoyed the meals at the home, and that they are consulted regarding their preferences. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: There had been no complaints received by CSCI since the previous inspection. There had been three complaints received by the care manager since the previous inspection. These were amicably resolved under the home’s complaints procedure. Two of the three complaints were not substantiated, and one was partially substantiated. The home has a robust complaint policy and procedure in place. Complaints are listened to and acted upon within the agreed timescales. Residents are protected from abuse of all types, by appropriately trained staff. There was a clear and accessible complaints and protection of vulnerable adults procedure in place at the home. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 16 Residents and relatives spoken with, confirmed that they would know who to approach should they have any concerns or complaints. Staff spoken with confirmed that they were aware of the need to monitor the safety of residents and to protect them from any form of harm or abuse. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The inspector toured the building, spoke with residents, and with visiting relatives. The home was found to be clean and well presented. New carpets and non-slip flooring had been laid to Oaklands, and Autumn Leaves’ main lounge/dining areas. Blossom Court’s lounge had been completely refurbished since the previous inspection, and reflected the choice of the residents, in the Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 18 colour scheme and the way in which the lounge has been set out. There is also a new kitchenette area (within the lounge) where residents can make drinks and snacks. Residents spoken with by the inspector were very pleased with their new lounge, and were proud to show it to the inspector. Bedrooms seen were personalised, and had been adapted to suit the needs of the residents. Various appropriate aids and adaptations were in place throughout the home, including assisted baths, mobile hoists and other equipment used for moving and handling of residents. There was a nurse call bell in operation, which was seen and heard to be working at the time of the inspection. The kitchen environment was clean and tidy, with up to date daily records kept in regard to cleaning. Recording of Fridge and freezer temperatures had been appropriately documented and recorded. Dry foods were also stored correctly. The quality and variety of food served at the home is of a good standard, and the 4 weekly rotational menus reflected the wishes of residents, as well as the changes in season. Residents spoken with confirmed that they enjoyed the meals at the home, and that they are consulted regarding their preferences. The laundry area was clean. Appropriate infection control measures were in place. The inspector discussed staffing levels in relation to the laundry, with the care manager. This will be monitored at the next inspection. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to meet the aims of the home and meet the changing needs of residents. EVIDENCE: Staff rotas were examined, and 4 members of staff were interviewed. Staffing levels were discussed with the deputy manager in relation to the dependency levels of the residents, and the number of residents living at the home. Rotas showed that existing staffing levels had been maintained. Staff spoken with and the Pre – Inspection Questionnaire provided by the care manager, evidenced that staff had undertaken appropriate training, including abuse training, moving and handling, health and safety, fire, and infection control. A recently recruited member of staff confirmed that they had completed an application form, provided two references, and had been interviewed prior to commencement. An induction programme had also been undertaken. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 20 Staff recruitment files were sampled, and reflected that the home has a robust recruitment procedure. Staff files seen showed that before commencement of employment, staff had undergone appropriate Police checks, including POVA Protection of Vulnerable Adults checks. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, and the home is well run by an experienced and competent care manager. EVIDENCE: The inspector had received 20 ‘Have your say’ documents, and a total of 8 comment cards, which the CSCI issue to relatives, social workers and health professionals. The general theme of these was that residents and relatives were happy and satisfied with the service that they and their relatives receive Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 22 in the home. For example “the staff at the home show an excellent understanding of individual resident’s needs”, “staff at the home were so kind to my mother and to us – her family”. One resident who was unable to speak, smiled and showed the inspector the thumbs up sign, when asked if he was happy with the care he received. The home’s Statement of Purpose, Service User Guide and Philosophy of the service, is available to prospective residents and their relatives. Care Plans seen were comprehensive, signed and up to date. Health and safety issues were inspected, and found to be in good order. Staff spoken with, and the Pre – Inspection Questionnaire completed by the care manager confirmed that staff had received appropriate training, according to their role and responsibility. Staff spoken with also confirmed that they are receiving supervision, as per the National Minimum Standards (NMS). The Registered care manager is very well qualified and experienced to oversee the running of the home. The Registered care manager is supported by a deputy manager and qualified staff. The care manager confirmed in the Pre Inspection Questionnaire that records relating to the testing of fire alarms and emergency lighting were up to date and well documented. Existing staffing levels have been maintained. Accidents had been recorded as required. There was also a system in place for the auditing of Accidents. There had been no complaints received by CSCI since the previous inspection. The care manager had received and dealt with 3 complaints, two of which were unsubstantiated, and one was partially substantiated. Complaints are listened to and acted upon within the agreed timescales. Residents and their relatives are aware of how to make a complaint if they wish to. Residents are protected from abuse of all types, by appropriately trained staff. The care manager, staff, and residents spoken with confirmed that regular resident and staff meetings are being held. Quality assurance was not inspected on this occasion, due to the absence of the care manager during the inspection. This will be monitored at the next inspection. Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 23 Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 3 3 Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Church Terrace Nursing & Residential Home DS0000026942.V330301.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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